- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.78 / $36.51 / $105.56
| Facility | | $14.78 | $36.51 | $105.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $17.44 / $116.48
| Professional | | $11.74 | $17.44 | $116.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $11.74 / $11.74
| Professional | | $11.74 | $11.74 | $11.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.45 / $63.96 / $112.86
| Facility | | $24.45 | $63.96 | $112.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $10.37 / $17.07
| Professional | | $5.00 | $10.37 | $17.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $21.52 / $59.74
| Facility | | $17.60 | $21.52 | $59.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $19.55 / $22.54
| Facility | | $19.55 | $19.55 | $22.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $42.71 / $89.30
| Facility | | $13.67 | $42.71 | $89.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.37 / $14.26 / $32.82
| Professional | | $10.37 | $14.26 | $32.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.00 / $95.00 / $113.00
| Facility | | $72.00 | $95.00 | $113.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.65 / $19.55 / $25.43
| Facility | | $15.65 | $19.55 | $25.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.60 / $19.55 / $25.49
| Professional | | $17.60 | $19.55 | $25.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.65 / $19.55 / $49.18
| Facility | | $15.65 | $19.55 | $49.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.37 / $15.04 / $28.01
| Professional | | $10.37 | $15.04 | $28.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $8.22 / $19.55
| Facility | | $7.04 | $8.22 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $11.27 / $19.39
| Professional | | $8.22 | $11.27 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $9.66 / $19.55
| Professional | | $7.63 | $9.66 | $19.55 |